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Hebrew Club Registration

Hebrew Club Registration

HC web banner - registration open 17-18 stroke.jpg

2017-18 Registration is now OPEN!
Classes Begin September 6th!

To Download the Hebrew Club 2017-18 Calendar - CLICK HERE
The View the Hebrew Club 2017-18 Calendar - CLICK HERE

Chabad Russian Center is excited to welcome you to a new year of learning and fun at Hebrew Club!
For grades 1-6, every Wednesday on the campus of the Norman S. Edelcup K-8 Sunny Isles Beach!
 
 
201 182nd Dr., Sunny Isles Beach, FL 33160
  • Jewish fun!
  • Explore your heritage & traditions in a fun and hands on way!
  • Wednesdays 1:50 pm - 4:00 pm
  • FREE of charge!

Hebrew Club Enrollment Form

*First Name:
*Last Name:


Hebrew Name:
Gender: Male Female
*Date Of Birth dd/mm/yyyy:
*Grade the child is entering in September 2016: *Is your child in aftercare? Yes No
Name of Teacher: Room #:

Is the natural mother of the child Jewish?
Yes
No

Are there any Conversions in the family?
Yes No
If yes please explain:

Family Information:

Father's Name:
Address:
City: Post Code:
Home: Work: Mobile:

Mother's Name:
Address:
City: Post Code:
Home: Work: Mobile:

Which email would you like to use for communication?

Emergency Contact:

Name:
Relationship:
Telephone numbers:
Home: Work: Mobile:

Allergy Information:

Please provide any allergy or other medical information that we should know about:

I hereby give permission for the Chabad Russian Center Hebrew Club to seek medical attention for my child in the event of an accident / emergency and further give permission for my child to be transported to and from excursions.
Signed:

 

(Children will come directly from their classes to the Hebrew Club.)

Hebrew Club Classes are FREE: However, there is a one time $100.00 registration and book fee.

PAYMENT INFORMATION:

 


Credit Card Type

Name on Card

 

 

Billing Address City Zip Code

 

 

Credit Card Number

 

 

Expiration Date: Month (MM) Year (YYYY)

 

 

Security Code on Card

 

 

Amount:$

 

Comments:



 

 

 

Looking Forward to Welcoming You!

 

(This program is not affiliated with Norman S. Edelcup/Sunny Isles Beach K-8 School. This program has been made possible through a facility use agreement with MDCPS.)

 

 

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